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Operational disruption in healthcare associated with software functionality issue due to software security patching:

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Software security patching in health information technology (HIT) can disrupt patient monitoring. This study analyzes an incident to propose strategies for safer patching, improving healthcare quality and patient safety.

Keywords:
healthcare quality improvementpatient safetysoftware issuesoftware updatesystem designsystem integrationtrainingworkflow disruption

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Area of Science:

  • Health Informatics
  • Clinical Engineering
  • Information Security

Background:

  • Health Information Technology (HIT) systems offer benefits but face deployment challenges.
  • Telemetry patient monitoring workflows are particularly vulnerable to disruptions.
  • Software security patching can negatively impact clinical operations and patient monitoring.

Purpose of the Study:

  • To analyze an incident involving software security patching in a healthcare setting.
  • To identify underlying causes of disruptions related to software updates.
  • To develop strategies for preventing and correcting issues arising from HIT patching.

Main Methods:

  • Qualitative analysis using inductive and deductive approaches.
  • Incident report review to understand the 'what' and 'why' of the event.
  • System approach and social-technical analysis of the patching process.

Main Results:

  • The incident was a software functionality issue caused by a security patch, resulting in noticeable consequences without patient harm.
  • Insufficient planning, lack of training, inadequate contingency plans, and poor system configuration were contributing factors.
  • Fifteen preventive and corrective strategies were developed, categorized into patch deployment, operator training, contingency planning, and system communication.

Conclusions:

  • Software security patching requires careful planning and execution to maintain healthcare quality and patient safety.
  • Implementing proposed strategies can minimize HIT-related incidents and enhance patch management.
  • Further research is needed on general HIT issues related to software security patching.